Correlation between the morphological signs of tuberculosis and the immune status in HIV infection

Comprehensive morphological examination of surgical and biopsy samples from 148 patients and autopsy specimens from 181 deceased persons was made to determine a correlation between the level of immunosuppression and the microscopic signs of tuberculosis in patients with HIV-associated tuberculosis (...

Full description

Bibliographic Details
Main Authors: Yu. R.  Zyuzya, V. N.  Zimina, Yu. G.  Parkhomenko, M. V. Alvares Figeroa, E. A. Dolgova
Format: Article
Language:Russian
Published: New Terra Publishing House 2014-11-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/304
_version_ 1797759398888603648
author Yu. R.  Zyuzya
V. N.  Zimina
Yu. G.  Parkhomenko
M. V. Alvares Figeroa
E. A. Dolgova
author_facet Yu. R.  Zyuzya
V. N.  Zimina
Yu. G.  Parkhomenko
M. V. Alvares Figeroa
E. A. Dolgova
author_sort Yu. R.  Zyuzya
collection DOAJ
description Comprehensive morphological examination of surgical and biopsy samples from 148 patients and autopsy specimens from 181 deceased persons was made to determine a correlation between the level of immunosuppression and the microscopic signs of tuberculosis in patients with HIV-associated tuberculosis (HIV/TB). A relation was found between the count of CD4+ lymphocytes and the predominant type of a tissue inflammatory reaction. Insidious granulomatous inflammation and a preponderance of alterative and exudative components in the foci of tuberculous inflammation suggested that a delayed-type hypersensitivity response that was typical of tuberculosis gave way to an immediate-type hypersensitivity response and reflected severe immune system dysfunction. The lack of responsiveness of the macroorganism in the virtually complete absence of CD4+ lymphocytes observed during autopsy examination led to the acute progression and generalization of tuberculosis, by affecting all organs and systems.
first_indexed 2024-03-12T18:43:54Z
format Article
id doaj.art-87d1ca6a43fe4bfb8f8c6133f6c02b4b
institution Directory Open Access Journal
issn 2075-1230
2542-1506
language Russian
last_indexed 2024-03-12T18:43:54Z
publishDate 2014-11-01
publisher New Terra Publishing House
record_format Article
series Туберкулез и болезни лёгких
spelling doaj.art-87d1ca6a43fe4bfb8f8c6133f6c02b4b2023-08-02T07:47:57ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062014-11-010114853304Correlation between the morphological signs of tuberculosis and the immune status in HIV infectionYu. R.  Zyuzya0V. N.  Zimina1Yu. G.  Parkhomenko2M. V. Alvares Figeroa3E. A. Dolgova4ГКУЗ «Московский научно-практический центр борьбы с туберкулезом» Департамента здравоохранения г. Москвы; НИИ фтизиопульмонологии ГБОУ ВПО «Первый МГМУ им. И. М. Сеченова»,ГКУЗ «Московский научно-практический центр борьбы с туберкулезом» Департамента здравоохранения г. МосквыФГБУ «НИИ морфологии человека» РАМН, г. Москва; ГКУЗ «Инфекционная клиническая больница № 2» Департамента здравоохранения г. МосквыГКУЗ «Московский научно-практический центр борьбы с туберкулезом» Департамента здравоохранения г. Москвы; ФБУН «ЦНИИ эпидемиологии» Роспотребнадзора, г. МоскваГКУЗ «Московский научно-практический центр борьбы с туберкулезом» Департамента здравоохранения г. Москвы; ФБУН «ЦНИИ эпидемиологии» Роспотребнадзора, г. МоскваComprehensive morphological examination of surgical and biopsy samples from 148 patients and autopsy specimens from 181 deceased persons was made to determine a correlation between the level of immunosuppression and the microscopic signs of tuberculosis in patients with HIV-associated tuberculosis (HIV/TB). A relation was found between the count of CD4+ lymphocytes and the predominant type of a tissue inflammatory reaction. Insidious granulomatous inflammation and a preponderance of alterative and exudative components in the foci of tuberculous inflammation suggested that a delayed-type hypersensitivity response that was typical of tuberculosis gave way to an immediate-type hypersensitivity response and reflected severe immune system dysfunction. The lack of responsiveness of the macroorganism in the virtually complete absence of CD4+ lymphocytes observed during autopsy examination led to the acute progression and generalization of tuberculosis, by affecting all organs and systems.https://www.tibl-journal.com/jour/article/view/304вич-инфекциятуберкулезпатологическая анатомияиммуносупрессия
spellingShingle Yu. R.  Zyuzya
V. N.  Zimina
Yu. G.  Parkhomenko
M. V. Alvares Figeroa
E. A. Dolgova
Correlation between the morphological signs of tuberculosis and the immune status in HIV infection
Туберкулез и болезни лёгких
вич-инфекция
туберкулез
патологическая анатомия
иммуносупрессия
title Correlation between the morphological signs of tuberculosis and the immune status in HIV infection
title_full Correlation between the morphological signs of tuberculosis and the immune status in HIV infection
title_fullStr Correlation between the morphological signs of tuberculosis and the immune status in HIV infection
title_full_unstemmed Correlation between the morphological signs of tuberculosis and the immune status in HIV infection
title_short Correlation between the morphological signs of tuberculosis and the immune status in HIV infection
title_sort correlation between the morphological signs of tuberculosis and the immune status in hiv infection
topic вич-инфекция
туберкулез
патологическая анатомия
иммуносупрессия
url https://www.tibl-journal.com/jour/article/view/304
work_keys_str_mv AT yurzyuzya correlationbetweenthemorphologicalsignsoftuberculosisandtheimmunestatusinhivinfection
AT vnzimina correlationbetweenthemorphologicalsignsoftuberculosisandtheimmunestatusinhivinfection
AT yugparkhomenko correlationbetweenthemorphologicalsignsoftuberculosisandtheimmunestatusinhivinfection
AT mvalvaresfigeroa correlationbetweenthemorphologicalsignsoftuberculosisandtheimmunestatusinhivinfection
AT eadolgova correlationbetweenthemorphologicalsignsoftuberculosisandtheimmunestatusinhivinfection